DR. ERIC IVAN TIDWELL (DDS) – General Practice Dentistry, NPI 1932131562

DR. ERIC IVAN TIDWELL (DDS) is a healthcare provider. based in Provo, Utah. specializing in General Practice Dentistry. They hold the professional credentials DDS. They hold a License No. 145165 (UT). The NPI Number for DR. ERIC IVAN TIDWELL (DDS) is 1932131562

Main info

Male
Sole Proprietor
Name
DR. ERIC IVAN TIDWELL (DDS)
NPI
1932131562
Phone
(801) 373-6362
Address
777 N 500 W STE 101A
Enumeration Date
6 July 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. ERIC IVAN TIDWELL (DDS)

  • 777 N 500 W STE 101A

    PROVO, UT 846011594

    Phone: (801) 373-6362

    Fax: (801) 373-0115

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84601)

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Frequently asked questions

What is the 10-digit NPI for DR. ERIC IVAN TIDWELL (DDS)?
DR. ERIC IVAN TIDWELL (DDS) — NPI 1932131562 — is the standard way to identify this listing.
Is DR. ERIC IVAN TIDWELL (DDS) still practicing?
DR. ERIC IVAN TIDWELL (DDS) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. ERIC IVAN TIDWELL (DDS)?
For research purposes, treat DR. ERIC IVAN TIDWELL (DDS) as General Practice Dentistry in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. ERIC IVAN TIDWELL (DDS) serve?
DR. ERIC IVAN TIDWELL (DDS)'s listing highlights Provo, Utah; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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